Certificate of Veterinary Inspection · issued 2023-05-17
35-245574
RIDGLAN FARMS, INC. → CLINVET · 10 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517
Carrier
Not stated on the certificate.
Issuing Veterinarian
Richard J. Van Domelen, D.V.M.
P.O. BOX 318 MT. HOREB, WI 53572
Health declarations
Vaccinations (2)
| Name | Manufacturer / Product | Lot | Administered | Expires | Applies to |
|---|---|---|---|---|---|
| Canine 1-DAPPv | Nobivac / Canine 1-DAPPv | 2023-05-04 | all | ||
| Rabies | all |
Remarks / additional certifications
Owner/Agent signature: Pamela J. Burke. Form received by WI Thu, 25 May 2023 11:28am CDT. The Rabies Vaccination Expiration Date column heading on page 1 contains the text 'ANIMALS FOR RESEARCH' spanning across multiple columns, indicating no standard rabies vaccination was administered and these are research animals.
Veterinarian certifies animals show no signs of infectious, contagious and/or communicable disease. Animals meet state of destination and Federal interstate requirements. Purpose: ANIMALS FOR RESEARCH.
Emails on form: ridglan@mhtc.net
Animals listed on this shipment (10)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| DRO-1 | Beagle | F | Adult | Adult | ||
| GZQ-1 | Beagle | F | Adult | Adult | ||
| HBQ-1 | Beagle | F | Adult | Adult | ||
| PVO-1 | Beagle | F | Adult | Adult | ||
| QAO-1 | Beagle | F | Adult | Adult | ||
| FCR-1 | Beagle | M | Adult | Adult | ||
| FOR-1 | Beagle | M | Adult | Adult | ||
| GKR-1 | Beagle | M | Adult | Adult | ||
| GVR-1 | Beagle | M | Adult | Adult | ||
| HXR-1 | Beagle | M | Adult | Adult |
The CVI form lists each dog individually. Per-animal vaccination and treatment history is on the source PDF.
Primary source
This certificate was published by Wisconsin DATCP and is hosted on cvicentral.com. Click through to see the original PDF with all vaccination dates, treatment records, and any handwritten notes.
Extraction provenance
shrine_id 633680 · doc_class PaperCvi